Surgery for deep infiltrating rectal endometriosis-Selecting the right approach

Jeyabalan, Tamyenthini and Ambikapathi, Theiyallen and Subramaniam, Sentilnathan and Sriram, Ratha Krishnan and Azizan, Nornazirah and Hayati, Firdaus (2022) Surgery for deep infiltrating rectal endometriosis-Selecting the right approach. Journal of Obstetrics and Gynaecology Research, 48 (8). pp. 2219-2223. ISSN 1341-8076, DOI

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Endometriosis involving the bowel is a form of deep infiltrating endometriosis (DIE). The endometriotic lesions can infiltrate the bowel layers mimicking a malignancy. The majority of bowel involvement happens in the colon and rectum. We report our experience in surgically managing rectal endometriosis in two patients, one via a conservative approach and the other with a more radical approach and their associated short-term and long-term outcomes are observed. In principle, surgery remains the mainstay of treatment in managing rectal DIE with adjuvant hormonal therapy. The selection of surgical approach should be based on disease factors such as the size of the lesions and extent of the disease, patient factors including fitness for surgery and expectations as well as logistics and resource limitations.

Item Type: Article
Funders: None
Uncontrolled Keywords: Deep infiltrating endometriosis; Disc excision; Rectal endometriosis; Rectal resection; Transluminal shaving
Subjects: R Medicine > RG Gynecology and obstetrics
Divisions: Faculty of Medicine
Depositing User: Ms. Juhaida Abd Rahim
Date Deposited: 27 Oct 2023 01:44
Last Modified: 27 Oct 2023 01:44

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